Digital Commons Network^™

Building Bots That Teach Thinking: Using Custom Ai Chatbots To Enhance Critical Thinking And Decision-Making, Megan Biagi

AI in the Classroom: A Virtual Summit

Generative AI is increasingly common in education, but its effect on student learning depends largely on how it is used. This interactive session will introduce practical strategies for creating custom AI chatbots that encourage students to think through problems rather than simply ask for answers. Participants will explore ways to design bots that ask learners to explain their reasoning, consider alternative perspectives, identify assumptions, and revise their thinking before receiving feedback.   Examples from healthcare education and other disciplines will show how these tools can support guided inquiry, reflective questioning, clinical reasoning, and decision-making. Participants will review and revise sample chatbot …

Going Organic: Capturing The Patient Voice To Inform Patient-Driven Interventions And Outcomes, Wendy R. Trueblood Miller

International Nursing Research Congress (INRC)

This presentation describes a novel approach for embedding the organic patient voice into intervention design through analysis of patient-generated data. By leveraging social media and other naturally occurring narratives, this method captures patient identified concerns authentically, revealing priorities often missed by traditional approaches. Examples from epilepsy and other chronic conditions demonstrate how this work informs scalable, patient driven self management tools and outcomes.

Theory Generation And Research: The International Impact On Families’ And Nurses’ Mental Health, Karen J. Foli

International Nursing Research Congress (INRC)

This special session will focus on Dr. Karen J. Foli’s two decades of research, based on her mental health-focused nursing theories. A brief overview of her theories, the middle-range theory of parental postadoption depression and the middle-range theory of nurses’ psychological trauma, will be offered. Select studies from her research trajectories as well as the link between theory and empirical studies will be emphasized. Last, the international impact of her work will be illustrated.

Mothers And Infants In Multiple Pregnancy And Birth, Li-Yin Chien

International Nursing Research Congress (INRC)

Background: ART-driven multiple births create unique health challenges.

Purpose: This research examines family trajectories, focusing on offspring health and maternal well-being.

Methods: Mixed-methods using national databases and a longitudinal maternal study.

Results: Multiples face higher risks of heart defects and cancer. Maternal depression peaks postpartum, driven by stress and declining support.

Conclusion: Specialized care and SET promotion are vital for family outcomes.

Accelerating Nursing Science With Ai: Promise, Risk, And The Path Forward, Maxim Topaz

International Nursing Research Congress (INRC)

AI is transforming nursing at unprecedented speed, but our institutions lack safeguards to match. This Hall of Fame address presents five projects spanning bibliometric analysis, living systematic reviews, multimodal clinical AI, fabricated citation detection, and clinical deskilling. Actionable frameworks for preserving clinical competence are presented.

Hospital Falls In Hybrid Virtual Nursing Models: A Need For Future Health Outcomes Research, Lindsay E. Colby

International Nursing Research Congress (INRC)

Background and Purpose: Hospital falls are a global health concern with adverse implications for patients’ health-related quality of life. As a nurse-sensitive indicator, hospital falls reflect the quality and safety of the healthcare system. Hybrid virtual nursing, an emerging care delivery model, utilizes digital telehealth technologies and combines in-person nursing care with remote care. There is a dearth of literature related to the impact of hybrid virtual nursing on hospital falls.

The purpose of this poster is to: explore health outcomes measures and data sources related to hospital falls; review literature related to hospital falls in hybrid virtual nursing models. …

Preliminary Study Of Moral Distress Among York College Nursing Students, Nikea S. Debidin, Andrey Aminov

International Nursing Research Congress (INRC)

Moral Distress can occur when individuals are unable to act in accordance with their moral or ethical belief, this can be due to either internal or external constraints. While moral distress has been widely examined in among practicing nurses, limited research has explored the presence among undergraduate nursing students. The purpose of this study was to examine the level of distress and frequency of moral distress at a preliminary level, among undergraduate nursing students enrolled in a baccalaureate nursing program at York College in Queens, New York.
A quantitative descriptive design was adopted. Undergraduate nursing students (n=47) completed an anonymous …

Cultural Humility, Cultural Intelligence, Colorblindness, And Social Justice In Nursing Faculty, Marta I. Santiago-Jones

International Nursing Research Congress (INRC)

This study examined relationships among cultural humility, cultural intelligence, colorblind racial attitudes, and social justice attitudes among U.S. nursing faculty. Grounded in emancipatory knowing and emancipatory nursing praxis [1,6], the purpose was to explore how faculty cultural competencies and racial attitudes relate to social justice orientation in nursing education, particularly amid health inequities and scrutiny of diversity, equity, and inclusion efforts.

A quantitative, correlational design was used with 54 nursing faculty. Data were collected via an anonymous online survey and analyzed using descriptive statistics, correlations, and multiple regression. Validated instruments measured cultural humility [3], cultural intelligence [2], colorblind racial attitudes …

Rompiendo Fronteras: Addressing Language Barriers In Hispanic Palliative Cancer Care, Carla Mcnulty, Catherine Finlayson

International Nursing Research Congress (INRC)

Background: Cancer is the leading cause of death among Hispanic people, accounting for 20% of deaths (American Cancer Society, 2023). In 2024, the American Cancer Society predicted that 195,300 Hispanics would be diagnosed with cancer in the United States, and 50,400 (25%) would die from their disease, leaving approximately 144,900 (75%) living with cancer. As the Hispanic population rises in the United States, one can predict that cancer diagnoses will also increase. This is likely to result in a higher number of cancer-related deaths, as well as more individuals living with cancer. Consequently, there will be an increased demand for …

Improving Identification Of Older Adult Financial Exploitation Using The Oafem Screening Tool, Paige N. Horvath, J’Andra Antisdel, Lori J. Pajakowski

International Nursing Research Congress (INRC)

Older adult financial exploitation is a growing public health concern that frequently goes unrecognized in healthcare settings. Financial exploitation can result in significant financial loss, psychological distress, and decreased quality of life for vulnerable older adults. Primary care settings represent an important opportunity for early detection; however, routine screening for financial exploitation is rarely incorporated into standard patient assessments. The purpose of this evidence-based practice project is to evaluate whether implementation of the Older Adult Financial Exploitation Measure (OAFEM) screening tool increases identification of older adults at risk for financial exploitation in a community-based primary care clinic. The guiding PICOT …

Dnp Student Implementation Of Pc4 Model In A Pregnancy Resource Center To Improve Quality Of Care, Priscilla A. Outlaw

International Nursing Research Congress (INRC)

Pregnancy resource centers (PRCs) play a critical role in supporting women from underserved communities but often struggle to consistently meet clients’ emotional, cultural, and psychological needs. The purpose of this Doctor of Nursing Practice (DNP) project was to evaluate the impact of implementing the Person-Centered Care and Communication Continuum (PC4) Model—an evidence-based framework designed to enhance respect, communication, and individualized attention in maternal healthcare—on client satisfaction and service engagement at a local PRC.

Guided by Watson’s Theory of Human Caring, this mixed-methods quality-improvement project assessed antenatal client satisfaction and service delivery before and after PC4 implementation. Surveys and structured observations …

Supporting Socialization & Expression In Ltc: A Scoping Review Of Language Barriers & Older Adults, Christina Oleynikov, Amanda Mcintyre

International Nursing Research Congress (INRC)

Communication is central to socialization and the expression of cultural identity [7]. In multilingual societies such as Canada, language barriers can hinder full integration, affecting social participation and overall quality of life [6,7,9]. The proposed study focuses on language barriers faced by minority older adults in long-term care settings. Non-English speaking residents who face barriers in communication and lack the adequate support necessary to overcome them, become vulnerable to impaired meaningful interactions and social isolation [3,11]. This study plans to gather and review existing scientific literature on how these barriers affect older adults and impact their socialization needs. A scoping …

Eating Disorders In Male Athletes, Robbie-Lynn C. Puspoky

International Nursing Research Congress (INRC)

The purpose of this integrative review was to explore the risk of eating disorders in male athletes aged 15-36 years old in high performance sports. Whittmore and Knalf’s integrative review method was followed to address this research aim. Two databases (Ovid MEDLINE 1946 to present and CINAHL) were searched between the years of 2000 and 2023. Suitability for inclusion was assessed, and data were extracted and analysed using thematic analysis. Twenty-three articles met the inclusion criteria for this review. Three themes were identified and reflect the risk of eating disorders in male athletes in high performance sports between the ages …

Hospital Falls In Hybrid Virtual Nursing Models: A Need For Future Health Outcomes Research, Lindsay E. Colby

International Nursing Research Congress (INRC)

BACKGROUND AND PURPOSE: Hospital falls are a global health concern with adverse implications for patients’ health-related quality of life. As a nurse-sensitive indicator, hospital falls reflect the quality and safety of the healthcare system. Hybrid virtual nursing, an emerging care delivery model, utilizes digital telehealth technologies and combines in-person nursing care with remote care. There is a dearth of literature related to the impact of hybrid virtual nursing on hospital falls.

The purpose of this poster is to: explore health outcomes measures and data sources related to hospital falls; review literature related to hospital falls in hybrid virtual nursing models. …

Assessing Bse Knowledge And Practice Among Female Undergraduates In Oyo, Nigeria, Esther Oluwatoyin Famutimi, Phoebe O. Ayandokun

International Nursing Research Congress (INRC)

Background: Breast cancer is a major global health burden and the most common malignancy among women in Nigeria. Early detection through Breast Self-Examination (BSE) remains a cost-effective method for reducing mortality, especially in low-resource settings. Despite high awareness levels, many young women lack adequate knowledge and regular practice of BSE. This study, therefore, assessed the knowledge and practice of BSE among female undergraduate students in two tertiary institutions in Oyo State, Nigeria.

Methods: A descriptive cross-sectional research design was adopted. The study population comprised female undergraduates from Atiba University and Emmanuel Alayande University of Education, Oyo. A multistage sampling technique …

Social Determinants Of Health: Beliefs About Healthcare As A Right Or A Privilege, Dianne Mcadams-Jones

International Nursing Research Congress (INRC)

Nursing education nationwide has integrated Social Determinants of Health (SDoH) into curricula to prepare future healthcare providers to address inequities and improve outcomes. While understanding SDoH is essential for equitable care, nurses’ own beliefs—shaped by personal experiences and environments—can influence practice behaviors and perpetuate disparities (Egede, Walker & Williams, 2024). This qualitative descriptive pilot study explored perceptions of healthcare as a right or privilege, examining how personal beliefs intersect with SDoH and bad science which ultimately impact healthcare outcomes (Bandura, 1971). Using an unstructured survey distributed via email, 110 responses were received, with 64 healthcare professionals and first responders included …

App Led-Pocus Education: Survey Findings On Barriers, Facilitators, And Adoption, Al-Zada Aguilar

International Nursing Research Congress (INRC)

Point-of-care ultrasound (POCUS) offers immediate clinical insight, but turning exposure into everyday practice requires more than a single course. Over four years of APP-led, interprofessional training (2021-2025), we used the Consolidated Framework for Implementation Research to understand what helped, what hindered, and what our participants needed. Findings came directly from post-course and follow-up surveys.

Facilitators. Learners consistently described progress when teaching matched how ultrasound is actually used at the bedside. Shared language, step-by-step scanning, and reviewing real cases helped them connect image acquisition to clinical decisions. Psychological safety was another major driver. Being able to ask questions, try, fail, and …

Fear Of Progression And Associated Factors In Kidney Transplant Recipients: A Mixed-Methods Study, Hongxia Liu

International Nursing Research Congress (INRC)

Background: Kidney transplant recipients (KTRs) frequently develop excessive fear regarding disease recurrence and progression, which substantially affects their health. The Common-Sense Model of Self-Regulation (CSM) offers a useful framework to explain how these recipients perceive, process, and respond to such health threats.

Objective: To develop and validate a model of fear of progression (FoP) in kidney transplant recipients, analyzing its influencing factors; and to identify contextual factors associated with this fear as well as recipients’ lived experiences.

Design: A convergent mixed-methods design was employed in this study.

Settings: Kidney transplant follow-up centers at three tertiary hospitals in Beijing, Hunan, and …

Creating Space For Grief: A Bereavement Support Initiative In Critical Care, Donna Nguyen, Morgan Curnell

International Nursing Research Congress (INRC)

Purpose: To examine current bereavement practices in critical care through a scoping review and identify evidence-based strategies to support families and nursing staff during and after end-of-life events. This review highlights gaps, facilitators, and opportunities for nurse-led approaches to strengthen compassionate, consistent bereavement care.

Background: In ICUs, bereavement extends beyond families to nurses who frequently experience emotional and moral distress after patient death. Despite evidence supporting structured bereavement interventions, practices remain inconsistent, culturally variable, and often lacking clear guidance for frontline nurses. A synthesis of current literature is needed to inform standardized, grief-informed practices that benefit both families and staff. …

The Future Starts Here: Stay Rounds For Meaningful Nurse Engagement And Job Satisfaction, Shelly L. Brody

International Nursing Research Congress (INRC)

Background: The COVID-19 pandemic posed challenges for the workforce, leading  to high turnover. Leaders worked on engaging employees and creating a culture that encourages retention. The global nursing workforce totals 27.9 million, with about 5.9 million vacancies. "Stay Rounds" is an innovative strategy to improve nursing retention in healthcare institutions, focusing on preventing burnout and turnover by fostering a supportive work environment.

Purpose: The project aims to enhance employee retention and engagement through a comprehensive process that involves conducting Stay Round Interviews with employees, ultimately leading to a reduction and reduction in turnover rates.

Methods: The project was carried out …

Virtual Reality Pedagogy To Improve Clinical Judgment And Work-Readiness: An Integrative Review, Maria Hurd

International Nursing Research Congress (INRC)

Aims: To appraise the literature examining the impact of virtual reality (VR) on the development of clinical judgment and work readiness in undergraduate nursing students.

Background: Preparing nursing students for safe entry into practice remains challenging due to limited clinical placements and increasing expectations for competence. VR simulation provides immersive, repeatable pedagogical experiences that support clinical reasoning and decision-making [1,2]; however, its effectiveness in developing work readiness remains unclear.

Methods: PubMed and CINAHL were searched for studies examining VR-based pedagogical approaches and outcomes related to clinical judgment and work readiness. Of 216 articles identified, 193 were screened after duplicates were …

Flexible Scheduling: Pathway To Building Sustainable Nursing Workforce: A New Zealand Context, Adetoun Adebimpe Oyekunle

International Nursing Research Congress (INRC)

Background: Hospital nurses frequently work long and irregular shifts, exposing them to high fatigue and stress that undermine wellbeing and retention. Rigid rosters limit autonomy, erode work-life balance, and contribute to turnover. In New Zealand, the situation is intensified by chronic workforce shortages, an ageing nursing population, and rising reliance on internationally qualified nurses. Flexible scheduling and shift choice, which give nurses greater control over when and how they work, may offer an effective strategy to reduce fatigue,increase job satisfaction, and improve retention.

Aim: To explore how flexible scheduling and shift choice affect fatigue, job satisfaction, and retention among nurses …

Implementing Loneliness Screening To Impact Referrals To A Community Health Liaison, Debra Garee

International Nursing Research Congress (INRC)

Loneliness can be a common and harmful problem many people of all ages face. At the practice site, there was no screen to identify lonely patients who would benefit from connection to community resources. The purpose of this quality improvement project was to determine if the translation of Mullen et al.’s research utilizing the University of California Los Angeles (UCLA) Three-Item Loneliness Scale would impact referrals to a community health liaison among adults. The project was piloted in a rural Ohio community health center over eight weeks. The project's theoretical foundations were Betty Neuman’s systems model and John Kotter’s change …

Adaptation Of A Culturally Sensitive Gbv Screening Tool For Pregnant Women In Ghana, Innes Agbenu

International Nursing Research Congress (INRC)

Background: Violence against women and girls is a crucial global health concern. Violence occurring during pregnancy is an alarming global health issue due to increased adverse outcomes on maternal and newborn health. A vital component in the management of gender-based violence (GBV) in pregnancy is the identification of victims. Routine screening during the antenatal period is the most effective approach to identify pregnant women and girls exposed to GBV. Despite this crucial need, evidence suggests that little is done to identify women exposed to violence during pregnancy in Ghana.

Aim: This study aimed to assess gender-based violence screening practices among …

Compassionate Care As Nursing Leadership For Mitigating Fatigue And Boosting Thriving Environments, Chizimuzo T.C. Okoli

International Nursing Research Congress (INRC)

Background: Globally, nurses experience high rates of compassion fatigue (CF) and low compassion satisfaction (CS), especially in Asian regions (Xie et al., 2021). As a core feature of professional nursing identity, compassionate care delivery fosters positive patient outcomes, workforce productivity and growth, and organizational thriving (Ghafourifard et al., 2022; Robinson et al., 2024). Compassionate leadership is a dynamic process that engenders an organizational culture that values compassion for the betterment of others (Ramachandran et al., 2024; Shuck et al., 2019). There is a crucial need to understand factors associated with CS and CF while examining nursing leadership styles that can …

Strengthening Self-Efficacy To Reduce The Confidence–Performance Gap In Nursing Skill Execution, Efrat Danino

International Nursing Research Congress (INRC)

A persistent gap between nurses’ perceived confidence and their actual performance of clinical skills poses risks to patient safety, quality of care, and workforce preparedness. The purpose of this study was to examine how internal factors—particularly self-efficacy and perceived ability—and external factors, including departmental climate and gender, influence the execution of core nursing procedures.

Limited research has evaluated how self-efficacy and perceived ability translate into consistent performance across diverse clinical environments. Addressing this gap is essential for developing evidence-based strategies that enhance competence, promote safe practice, and strengthen the global nursing workforce.

A cross-sectional study was conducted using validated self-report …

Innovating Care: Embedding Sem Scanning Technology Across Clch Nhs Inpatient Rehabilitation Services, Cherylane Lumpayao Sabellano

International Nursing Research Congress (INRC)

Background: Pressure ulcers remain a significant patient safety concern in rehabilitation settings. Subepidermal Moisture (SEM) scanning technology enables early detection of tissue damage, supporting timely interventions. Baseline audits at Brent Rehabilitation Wards revealed poor compliance with SEM scanning and documentation (10%). This project aimed to increase compliance to ≥50% within three months and integrate SEM scanning into routine care across Central London Community Healthcare (CLCH).

Methods: The initiative commenced in April 2024 at Furness and Robertson Wards (39 beds), using the Model for Improvement and PDSA cycles. Interventions included monthly bite-sized teaching sessions by SEM experts, group clinical supervision, redesign …

Musculoskeletal Disorders, Care Burden, And Sarcopenia: A Preliminary Study On Family Caregivers, Shu-Yuan Lin

International Nursing Research Congress (INRC)

Background: Family caregivers bear a high risk of developing musculoskeletal disorders (MSD), which may precipitate sarcopenia and care burden. This study hypothesizes that the occurrence of MSDs may be related to caregiver burden and sarcopenia among middle-aged and older family caregivers.

Study Purposes: (1) To investigate the incidence of MSDs, sarcopenia, and the level of care burden among middle-aged and older family caregivers; (2) To identify the correlations between MSDs, sarcopenia, and care burden.

Methods: A cross-sectional questionnaire survey was conducted. Family caregivers who received services from the Caregivers Association or home care services and met the inclusion criteria, including …

Interventions Addressing Moral Distress In Acute Care Nurses: A Systematic Review, Maira Alejandra Harris, Sarah Owens, Louis Baser, Jean Edward

International Nursing Research Congress (INRC)

Background. Moral distress (MoD), or psychological distress resulting from acting against one’s ethics, and its consequences is a growing concern in healthcare. Nurses experiencing MoD are at greater risk of experiencing burnout, workplace stress and fatigue, anxiety, and depression. There is a gap in the literature regarding MoD interventions in nurses working in the acute care setting. The purpose of this systematic review was to identify interventions that reduce MoD in registered nurses (RNs) and licensed practical nurses (LPNs) working in the acute care setting.

Methods. We searched PubMed, CINAHL, and PsycINFO in September 2025. Search string results revealed 3,637 …

Understanding Critical Care Nurses’ Experiences While Caring For Dying Patients, Danna Leigh Curcio

International Nursing Research Congress (INRC)

Nurses are the caretakers that have the most contact with patients and families above any other member of the healthcare team. Nurses provide care to dying patients as part of professional and occupational responsibilities, potentially creating a stressful environment. It is important to understand how nurses psychologically adapt while providing care and support. The purpose of this descriptive qualitative research study was to explore, describe, and understand the experiences of nurses caring for dying patients in critical care. The study employed semi-structured face-to-face interviews utilizing naturalistic inquiry and a content analysis approach. A purposeful sampling of nine critical care nurses, …